Remote Clinical Pharmacist - Prior Authorization (AZ)

CVS Health; Phoenix (AZ); Remote; USD 95,000 - 194,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Other resources

Job summary

CVS Health is seeking a Clinical Pharmacist to support Prior Authorizations and clinical documentation reviews from a remote location in the United States, ideally in the Phoenix, AZ area.

You will review PA requests, verify indications, and provide internal pharmacist support to the PA team and member services. Strong written and oral communication is required, with experience in Pharmacy Benefit Management and Prior Authorizations.

Qualifications

• 1+ years pharmacist experience in Pharmacy Benefit Management.
• 1+ years pharmacist experience with Prior Authorizations.
• Active, unrestricted pharmacist licensure in the State of Arizona.
• Active, unrestricted pharmacist licensure in state of residence.

Responsibilities

• Review Prior Authorization requests and verify proven and/or medically necessary indications.
• Review clinical documentation in support of prior authorization reviews.
• Provide internal pharmacist support to the PA team and member services department.
• Perform foreign drug reviews, medical record reviews, case analysis, and contribute to policy development.

Skills

Pharmacy Benefit Management

Prior Authorizations

AZ Pharmacist License

Residency License

Education

PharmD or BS in Pharmacy

Job description

CVS Health is seeking a Clinical Pharmacist to support Prior Authorizations and clinical documentation reviews from a remote location in the United States, ideally in the Phoenix, AZ area.

You will review PA requests, verify indications, and provide internal pharmacist support to the PA team and member services. Strong written and oral communication is required, with experience in Pharmacy Benefit Management and Prior Authorizations.